Individual
DR. RICHARD VINCENT HAUSROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7539
Mailing address
498 BAY HILL DRIVE, AVON LAKE, OH 44012
(440) 930-5040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.087318
OH
207P00000X
Emergency Medicine Physician
MD427532
PA
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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